Individual
EMILY SUSANNE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1580 CREEKSIDE DR, SUITE 260, FOLSOM, CA 95630-3886
(916) 984-7870
Mailing address
1580 CREEKSIDE DR, SUITE 260, FOLSOM, CA 95630-3886
(916) 984-7870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19209
CA PA LICENSE
CA
Enumeration date
06/20/2007
Last updated
07/08/2007
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